Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHOPKO STORES OPERATING CO. LLC

NPI: 1124071568 · ABERDEEN, SD 57401 · 332H00000X

$22K
Total Medicaid Paid
410
Total Claims
389
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $18K
2019 79 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 133 127 $9K
V2020 Vision svcs frames purchases 133 125 $6K
V2199 Lens single vision not oth c 102 96 $4K
92004 42 41 $3K